icmocecree, Page 1 STATES UNITED 1040 FORM _ JNDIVIDU@ INCOME AND VICTORY TAX RE@@RN 1943 OPTIONAL FORM 1040A MAY BE FILED INSTEAD OF THIS FORM IF GROSS INCOME IS REPORTED ON THE CASH BASIS FOR THE CALENDAR YEAR, IS NOT MORE THAN $3,000 AND CONSISTS WHOLLY OF SALARY, WAGES, OTHER COMPENSATION FOR PERSONAL SERVICES, DIVIDENDS, INTEREST OR ANNUITIES (Do not use these spaces) FOR CALENDAR NAME (Name) 1943 Cole 1944 | No , 1943, and ending or fiscal year beginning PRINT YEAR AND ADDRESS PLAINLY. (See Instruction C) District (Cashier’s Stamp) (Use given names of both husband and wife, if this is a joint return) (Street and number, or rural route) (City or town) (State) Occupation Social Security number, if any COMPUTATION OF NET Column INCOME | Column Income Tax Net Income 2 Victory Tax Net Income INCOME Employer’s Name City and State 1. Salary, Wages, and Compensation for Personal Services (Members of Total armed forces see Less: Deductible expenses. . Instruction I) (Attach itemized statement) Compensation after deductible expenses 2. Dividends 3. Interest on corporation bonds, bank deposits, notes, etc 4. Interest on Government obligations, etc.: (a) From line A (8), Schedule A XxxXxxxxx (6) From line B (5) and (3), Schedule A____3 Annuities sp eran oo 6. (a) Net gain (or loss) from sale or exchange of capital assets. (From Schedule B) (b) Net gain (or loss) from sale or exchange of property other than capital assets. (From Schedule B)_ 7. Rents and royalties. (rom Schedule C (1)) 8. Net profit (or loss) from business or profession. (From ScheduleC (2)) (State total receipts, from line 1, Schedule C(2) $ 9, Income (or loss) from partnerships; fiduciary income; and other income. 10. Total income in items | to 9 ares ) (From Schedule C (3))- DEDUCTIONS 11. Contributions. (Explain in Schedule D). 12. Interest. (Explain in Schedule E) (See Instructions 12 and 16 for Victory Tax deduction) 13. 14. 15. 16. 17. 18. 19. | xxxxxxx XXXXXXX XxXXXxXXX XxXXXXXX Taxes. (Explain in Schedule F) (See Instructions 13 and 16 for Victory Tax deduction) Losses from fire, storm, shipwreck, or other casualty, or theft. (Explain in Schedule C) Medical, dental, etc., expenses. (Explain in Schedule H) Other deductions authorized by law. (Explain in Schedule G) Total deductions in items I1 to 16 Income Tax net income (item 10, col. 1, less item 17, col. 1) Victory Tax net income (item 10, col. 2, less item 17, col. 2) INCOME AND VICTORY , xxxxxxx | XXXXXXx $ TAX 20. Unpaid balance of 1943 Income and Victory Tax (from line 22, page 4) 21. You may postpone, until not later than March 15, 1945, payment of the amount you owe up to one-half of item 19 (c), page 4. Enter the amount postponed. (For persons whose surtax net income for 1942 or 1943 exceeded $20,000, see Schedule L—2) 22. Amount paid with this return (item 20 less item 21) 3 If the total of your payments (line 21 (d) on page 4) is larger than your tax (line 20 on page 23. Refund or} Credit 4), enter the difference : Indicate by a check mark (4/) what you want done with this overpayment: Apply it on my 1944 estimated tax []. Refund it to me [_]; I declare under the penalties of perjury, that this return (including any accompanying schedules and statements) has been examined by me and to the best of my knowledge and belief is a true, correct, and complete return. (Signature of person (other than taxpayer or agent) preparing return) Name of firm or employer, if any) 16—37129-1 (Signature of taxpayer) (Date) (Date) _ (If this is a joint return (not made by agent),) it must be signed by both husband and Wife)) A return made by an agent must be accompanied by pewer of attorney. (See Instruction G)